Page 8 Telehealth and Remote Patient Monitoring RPM for Long Termand Post Acute Care A Primer and Provider Selection Guide 2013

3

clinical patient encounter – as well as supporting it contains. It is not a legal record unless so defined
other care-related activities directly or indirectly via and is subject to various legal limitations. Some
4
interface – including evidence-based decision sup- EHRs offer patients/consumers the ability to view
port, quality management, and outcomes report- their records through web portals or the ability to
ing. 1 export data to a PHR.

2.2.2 Electronic Medical Record (EMR) 2.2.4 Health Information Technology (HIT)

An EMR is an electronic record of health-related HIT encompasses a broad array of technologies
information on an individual that can be created, involved in managing and sharing patient informa-
gathered, managed and consulted by authorized tion electronically, rather than through paper re-
clinicians and staff within a single health care orga- cords. HIT performs information processing using
nization. 2 both computer hardware and software for the entry,
storage, retrieval, sharing, and use of health care
An EMR is an application environment composed information. EHR, EMR and PHR are examples of
5
of the clinical data repository, clinical decision sup- HIT.
port, controlled medical vocabulary, order entry,
computerized provider order entry (CPOE), phar-
macy, and clinical documentation applications. This 2.2.5 Electronic Point of Care (POC)/Point of
environment supports the patient’s EMR across Service (POS) Documentation Systems
inpatient and outpatient environments, and is used Electronic point of care (POC)/point of service
by health care practitioners to document, moni- (POS) documentation systems allow the nurse, phy-
tor, and manage health care delivery within a care sician, aide, or other provider to enter information
delivery organization (CDO). The data in the EMR into an electronic record during or immediately
is the legal record of what happened to the patient after visits with clients/residents (e.g., kiosks, tablet
during their encounter at the CDO and is owned by computers, hand-held devices, etc.).
the CDO. 3

2.2.3 Personal Health Records (PHR) 2.3 Safety Technologies

A PHR is a universally accessible, layperson-com- Safety technologies include technologies for
prehensible, lifelong tool for managing relevant emergency call and personal emergency response
health information, promoting health maintenance systems (PERS), fall detection and prevention
and assisting with chronic disease management via technologies (bed and chair alarms), environmental
an interactive, common data set of electronic health monitoring (temperature, carbon monoxide, flood,
information and e-health tools. The PHR is owned, smoke and fire alarms), access control, wander
managed, and shared by the individual or his or her management, unattended stove shut-off systems
legal proxy(s) and must be secure to protect the pri- and the like.
vacy and confidentiality of the health information

Telehealth and Remote Patient Monitoring for Long-Term and Post-Acute Care:
A Primer and Provider Selection Guide 2013